View Information Collection (IC)
View Information Collection (IC)

View Information Collection (IC)

General Population Screener and Consent Process (Youth and Parent)
 
No Modified
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-Parent Guardian Tablet Screener ExPECTT Yes Yes Fillable Fileable
Other-Parent Guardian Mail Screener A ExPECTT No   Paper Only
Other-Parent Mail_Screener (male rural smokeless) No   Paper Only
Other-Parent Permission ExPECTT No   Paper Only
Other- Parent Permission ExPECTT (2) No   Paper Only
Other-Parent Permission (male rural smokeless) No   Printable Only
Other-Parent Permission ExPECTT FU Yes Yes Fillable Fileable Signable
Other-Parent Guardian Mail Screener B ExPECTT Yes Yes Fillable Fileable Signable

Health Consumer Health and Safety

 

30,880 0
   
Individuals or Households
 
   0 %

  Approved Program Change Due to New Statute Program Change Due to Agency Discretion Change Due to Adjustment in Agency Estimate Change Due to Potential Violation of the PRA Previously Approved
Annual Number of Responses for this IC 30,880 0 0 0 0 30,880
Annual IC Time Burden (Hours) 5,250 0 0 0 0 5,250
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
No associated records found
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.
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